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a~:~~i:~. <br />PROOUCER THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />WARD INSURANCE A(3ENCY, INC. NO RIGHTS UPON THE CEHTIFICATE HOLDER THIS CEHi1FICATE OOES NOT AMEND, <br />79 CENTENNIAL LOOP DCTENO OR ALTER THE COVERAOE AFFORDED BY THE POUCIES 6ELOW <br />> ................................................................................................................................................................... <br />POBOX10167 <br />EuceN~, oA a~aao COMPANIES AFFORDING COVERAGE <br />:................................................................................................................................................................... <br />(503)/687-1117 <br />PETER L CASSINEW ;~~ A HOUSTON GENERAL INS CO- PORTLAND, OREGON <br />:.................................................................................................................................................................... <br />. ............................................................................................................................... ~ COMPANY B <br />INSURED : IFTTER <br />i .......................................................................................... .. .. ............................................................ <br />COMSOURCE ASSOCIATES, INC. : ~~ C <br />747 WILLAMETTE STREET > ........................................................................................ .... .. O. ............................................... <br />: coMPa~nr p <br />EUQENE, OR 97401 ;... ~R ...................................................:............................................ . ~. . ............................. <br />: ~ E ~ <br />THIS 18 TO CERTIFN THAT THE POUCIES OF IN8UHANCE USTEO BELOW HAVE BEEN 133UED TO THE INSURED NAMED ABOVE FOR THE POUCY PERI00 <br />INOICATED, NOTNITHSTA~~DINO ANY REGUIREMENT, TERM OR CONDf110N OF ANY CONTRACT OR OTHER OOCUMENT W(TH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PEF~'fAIN, THE. INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />IXCLUSIONS AND COND(TIONS OF SUCH POUCIE3. UMR8 8HOWN MAY HAVE BEEN REDUCEO BY PAIO CLAIMS. <br />~~ TYPE OF INSURAliCE POUGY NUMBER `~UCY EFFECTIVE E POUCY E7~IRA110N f Ny UYITS IN 7HOUSAN08 <br />. <br />LTRE E DA7E (MM/OWYY) E DATE (MMIDD/VY) E <br />. • . . <br />. . <br />.....s ......................................................................................................................................:................................:........................................................................................................................... <br />i Op1ERAL UABILI7Y ~ OENERAL. ACiGi~3ATE i i 1~000 <br />:......... : > ...........................................................>......................... <br />' X•' CWAMERpAt. c3ENEHAL UA81LlTY: ; 07/15/92 . 07Ii5/93 :~DUCTS~OMPI'OP8 Af3OFlECiATEy.f...... 1,000 ... <br />p :,,x,,~b........, > ........ . ................. <br />i;«s:>:>:•, ; cxaMa MaoE X: ac~ua.: :~ a a~vear~stnc~ uuuav : t 1 000 <br />..,.......... . : . . :... ..:... <br />;3~;;r' . .......... ...................................................... ....... .'. . <br />::.; . . . .... ......... .. <br />. : eun~Eas a muraacTOas aaor_ ` • • : eacN accuaao~ : c 1.000 <br />i AUTOMOBILE W1BIlJTY <br />y <br />..... <br />...: <br />> <br />; <br />ANY Allin <br />........ <br />~ : All OWNE~ AUTOS <br />q ;........~ <br />: scHmu~ auros <br />;...X..: fnaED nuros <br />;.. <br />E X i NoN~oNMED AuTOs <br />,........: OARA(3E LIABIIfiY <br />O(CESStJABILJTY <br />: OTNER TFUW UMBREWI FORM : <br />...... ....................................................... ..: <br />WORKER'8 COMPENSATON <br />AND <br />EMPL.OVERS' UA811lTY <br />.................................................. ..... ..: <br />..07HER <br />~;<.~;;:;~:~~«::s;:,:::<:;:<:: <br />188UE DATE ~IMIDO/Yn <br />o~nsr9z . o~ns~ <br />BTATUIORY <br />~ .. ..............................:: ~~ ~:.................. <br />.....> ................................................................................. <br />8 : (DI9EASE-POLICY UMfn <br />8 ; (D19EASE-EACFi EMPIAYEq <br />i <br />............................................................................................................ <br />OESCAIP?ION OF OPERATONSII.OCAT1011S/VEH~CLE3ISPECIAL tTEYS <br />Attention: CAROL KIMSEY - CONTRACTS DEPT <br />EWEB <br />POBOX10148 <br />EUGENE, OR 97440 <br />SHOUID ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLEO BEFORE THE <br />IXPIRATION DATE THEREOF, THE ISSUIN~ COMPANY WILL ENDEAVOR TO <br />MAIL _],~ DAYS WR(TTEN NOTiCE TO THE CERTIFiCATE HOLDER NAMEO TO THE <br />LEFf, BUT FAILURE TO MAII SUCH NOTICE SHALL IMPOSE NO 08U(iAT10N OR <br />LWBIUTY OF ANY IQND UPON THE COMPANY, fT3 AGENTS OR REPRESENTATNES. <br />~un~oagn ~r~s~amre <br />